Use and satisfaction with the Healthcare System of the chronic pain patients in Spain: results from a nationwide study

Abstract

Objective: To analyze the use of healthcare resources by chronic pain (CP) patients in Spain and their satisfaction with them.

Research design and methods: A nationwide, cross-sectional study was carried out on a representative sample of 1957 Spanish adults. A telephone survey was conducted with the aim of analyzing the prevalence of CP, the characteristics and consequences of pain, the use of healthcare resources and patients’ satisfaction with them. Descriptive, bivariate and multivariate analyses were performed.

Results: Of the 1957 subjects interviewed, 325 suffered CP. The mean duration of CP was 10 years (SD: 11.3) and 48.9% of the CP sufferers reported severe/unbearable pain. Moreover, about 30% felt sad/very sad or anxious/very anxious, 24.4% had been on sick leave, 12% had left/lost their jobs and 47.2% considered their pain affected their families. Likewise, 92.9% had consulted a healthcare professional due to their CP, on average 3.49 times (SD: 3.9), and 69.2% took medication. In addition, 67.3% and 63.8% were satisfied/very satisfied with the care and the healthcare information they received, respectively. Individuals who reported headache (OR = 0.34) and feeling sad (OR =0.38) were least satisfied with the care they received. In addition, CP sufferers who made greater use of consultations were those who had left/lost their jobs (β = 1.44), those who took medication (β = 1.67), those who considered their pain affected their families (β = 0.97) and those with a shorter duration of pain (β = −0.003).

Conclusions: CP produces relevant demands on healthcare resources, conditioned by the consequences within the family and the effects on their employment. To achieve greater patient satisfaction, professionals need to pay particular attention to certain sites of pain and to patients’ mental health.

Keywords:

• Chronic pain
• Healthcare utilization
• Nationwide study
• Satisfaction

Transparency

Declaration of funding

This work was supported by the Cátedra Externa del Dolor, a collaboration between the Universidad de Cadiz and Fundación Grünenthal. Fundación Grünenthal is a private non-profit making organization that promotes the dissemination of scientific knowledge and supports research. This organization did not have any involvement in the study design, analysis and reporting.

Declaration of financial/other relationships

M.D., B.O. and A.S. have disclosed that they have received grants from Fundación Grünenthal. F.F.-P., J.A.M., L.M.T. and I.F. have disclosed that they have no significant relationships with or financial interests in any commercial companies related to this study or article.

CMRO peer reviewers on this manuscript have no relevant financial or other relationships to disclose.

Acknowledgments

The authors thank the interviewers who collected the data through telephone interviews.